摘要
目的了解山西省东南部地区产妇体重滞留现状及其影响因素,为制定合理的体重改善策略和措施提供依据。方法于2015年7月-2017年6月,采用前瞻性队列研究方法 ,纳入待分娩孕妇635人,于产后6个月进行追踪调查,观察指标包括一般情况、孕前体重、孕期增重和产后6个月体重。结果 635名纳入研究的孕妇中,产后6个月随访到的有效人数为495人,应答率为77.95%。研究对象产前平均体质指数(BMI)为(20.27±2.28)kg/cm^2,分娩后6个月平均BMI为(23.12±2.74)kg/cm^2,平均体重滞留为(2.68±2.48)kg。超重和肥胖妇女比率由产前的16.36%到产后6个月的24.65%。295名(59.6%)研究对象超过了美国医学研究会(IOM)2009年推荐的孕期增重标准至少1 kg,104名(21.01%)研究对象超过标准5 kg。经多元线性回归分析,影响本地区产妇产后6个月体重滞留的影响因素为孕期增重、产后抑郁症患病情况和孕前BMI。结论怀孕期间以及产后6个月内需要进行体重管理以及心理卫生干预,以减少肥胖和肥胖相关疾病的发生率。
Objective To examine the prevalence and influencing factors of weight retention measured 6 months after childbirth among the women in southeastern Shanxi province and to provide evidences for formulating measures to improve the condition.Methods We enrolled 635 local pregnant women to be delivered between July 2015 and June 2017 for a prospective cohort study. Follow-up surveys were performed at one month and 6 months postpartum. The observation items included general conditions, weight before pregnancy, weight gain during pregnancy, and 6 months postpartum weight.Results Of all the participants, 495 were followed up till 6 months postpartum, with a response rate of 77.95%. For the women completing the following up, the average prenatal body mass index （BMI） was 20.27±2.28 and that at 6 months postpartum was 23.12±2.74; the average body weight retention was 2.68±2.48 kg. The ratio of overweight and obesity increased from 16.36% during pregnancy to 24.65% at 6 months postpartum. A total of 295 participants （59.6%） had the weight increment at least 1 kg exceeding the United States Institute of Medicine （IOM） recommendation and 104 （21.01%） exceeded the standard of 5 kg. The results of multivariate linear regression revealed that gestational weight gain, postpartum depression, and pre-pregnancy BMI were influencing factors of body weight retention at 6 months postpartum.Conclusion Weight management and mental health interventions are needed during pregnancy and within 6 months postpartum to reduce the incidence of obesity and obesity-related diseases.
作者
杨建洲
陈云霞
宋雯霞
俎晓霞
WenShi Wu
王昕
郑建中
YANG Jian-zhou;CHEN Yun-xia;SONG Wen-xia(Department of Public Health and Preventive Medicine, Changzhi Medical College, Changzhi, Shanxi Province 046000, Chin)
出处
《中国公共卫生》
CAS
CSCD
北大核心
2018年第7期946-948,共3页
Chinese Journal of Public Health
基金
山西省应用基础研究计划项目(2016011092)
长治医学院创新团队项目(CX201609)
